1 / 16

Converting LOCAL Program to a Valid EBP: Fidelity Management

Converting LOCAL Program to a Valid EBP: Fidelity Management. Meadowcroft & Associates and Wesley Spectrum Services For more information, please contact Pamela Meadowcroft, Ph.D. at pmeadowcroft@aol.com Or 412.683.7275. Meadowcroft&Associates and Wesley Spectrum (c). 09/17/11. 1.

marina
Télécharger la présentation

Converting LOCAL Program to a Valid EBP: Fidelity Management

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Converting LOCAL Program to a Valid EBP: Fidelity Management Meadowcroft & Associates and Wesley Spectrum Services For more information, please contact Pamela Meadowcroft, Ph.D. at pmeadowcroft@aol.com Or 412.683.7275 Meadowcroft&Associates and Wesley Spectrum (c) 09/17/11 1

  2. Levels of confidence • Evidence-based practice (rigorously evaluated; most often proven via RCT) • Evidence-informed practice/research-based (existing research support) • Best Practices (expert opinion) • Promising practice (acceptable treatments, anecdotal) • Innovations • Intuition, “the way it’s always done” Meadowcroft&Associates and Wesley Spectrum (c) 09/21/11 3

  3. We Know a Lot About What Works! • Meta-analyses on thousands of studies • Many programs ARE using research-based practices • They just have not MEASURED and TRACKED their work!!! Meadowcroft&Associates and Wesley Spectrum (c) 09/17/11 4

  4. Mark Lipsey, “Evidence-based Practice More than One Approach.” MST and FFT (two brand-names) show positive results, the dark boxes, but even “generic” interventions showed better results. From http://cjjr.georgetown.edu/pdfs/ebp/ebppaper.pdf 09/21/11 5

  5. Wesley Spectrum In Home: History of Tracking Outcomes Meadowcroft&Associates and Wesley Spectrum (c) 6

  6. But… Why Good Outcomes? • Easier population? OR • Something we are DOING (our interventions/program model)? • In other words: TRACKING OUTCOMES IS NOT ENOUGH Meadowcroft&Associates and Wesley Spectrum (c) 05/17/11 7

  7. Ideal Results High “fidelity” to the model leads to the best outcomes Meadowcroft&Associates and Wesley Spectrum (c) 8

  8. Steps for Building a local EBP: Fidelity Management • Define the program • Verify key program elements with existing research • Develop and Track Model Fidelity(outputs) • Develop and Monitor Outcomes • Validate the Locally-Developed Program Model (link outputs to outcomes) • Build-in CQI Meadowcroft&Associates and Wesley Spectrum (c) 09/21/11 9

  9. Define the Program • Logic Model • Key program components • Specific population • Staff selection and training • What the staff does • How they are supervised • Expected outputs and outcomes • Suggested measures • Example of draft IRT Logic Model

  10. Verify Program Elements with Existing Research • Literature review • Eliminate from tracking anything that doesn’t have existing research support • Examples

  11. Develop and Track Model Fidelity and Outcomes • Therapist and Supervisor Checklist (Intake, Monthly, Discharge) Scores: • Who we are serving (population assessments) • What are we doing (outputs related to key activities, intensity of services) • Howdid we do (client outcomes) • Consumer Satisfaction Survey Scores • Items relate to key program activities; additional output measures Meadowcroft&Associates and Wesley Spectrum (c) 09/21/11 10

  12. Build in CQI: Model Fidelity Comparison of Two Sites Meadowcroft&Associates and Wesley Spectrum (c) 09/21/11 11

  13. Higher Model Fidelity Improved Child Well-Being: Strong Relationship between Outputs and Outcomes Meadowcroft&Associates and Wesley Spectrum (c) 09/21/11 12

  14. Locally Developed vs Proprietary EBP Meadowcroft&Associates and Wesley Spectrum (c) 09/21/11 13

  15. Brand-name EBP vs Local-developed EBP Purchased EBP • $millions for research and evaluation • Many decades research/development • Highly prescribed • Low adaptability • High effort • Ongoing high program Cost (e.g., recertification) • Locally Developed EBP • Low-cost research and evaluation in short-time • Moderate level program requirements • Lower program cost • Greater utility across populations • Embedded in CQI • Tools for incorporating new practices • Staff commitment Meadowcroft&Associates and Wesley Spectrum (c) 09/21/11 14

  16. Key Conclusions • Evidence based models pose limitations that our model building process does not • Our model building process is replicable so other programs could do the same • The process gives programs supervision and monitoring tools for continuous improvement AND for making the case of value to stakeholders Meadowcroft&Associates and Wesley Spectrum (c) 09/21/11 15

More Related